GREATER BOSTON UROLOGY, LLC - NPI 1003120411

Q: What is Greater Boston Urology, LLC's NPI number?

The NPI number for Greater Boston Urology, LLC is 1003120411. It was assigned to this organization in the NPPES registry on July 28, 2010.

Q: What is Greater Boston Urology, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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About Greater Boston Urology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREATER BOSTON UROLOGY, LLC (NPI 1003120411) is a healthcare organization registered as an urology in Dedham, Massachusetts and active in the NPI registry since July 2010. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Plymouth, and lists Michael J Curran, President, as its authorized official.

NPPES Registry Identity

NPI1003120411

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameGREATER BOSTON UROLOGY, LLC

Location Address910 WASHINGTON ST STE 200Dedham, MA 02026

Mailing Address51 Mill St, Bldg F, Suite AHanover, MA 02339-6022 · (781) 337-0201

Phone(781) 762-0471

Organization SubpartNo

Authorized OfficialMichael J CurranPresident · (781) 762-0471

Enumeration DateJuly 28, 2010

Last NPPES UpdateOctober 12, 20224 updates tracked since enumeration

NPPES CertifiedOctober 12, 2022

✔ NPI 1003120411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 207VF0040X

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

910 WASHINGTON ST STE 200, Dedham, MA 02026

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Secondary Practice Location 1

Location 145 Home Depot Dr Ste 100Plymouth, MA 02360-2669 · Phone (508) 732-6770

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D1082493

Greater Boston Urology · Plymouth, MA

Active · expires Apr 10, 2028

CLIA Number22D1082493

Laboratory TypePhysician Office

Certificate Effective DateApril 11, 2026

Certificate Expiration DateApril 10, 2028

Laboratory DirectorDr. S Craig Gillard

Laboratory Phone(508) 732-6770

Laboratory LocationGreater Boston Urology45 Home Depot Drive, Plymouth, MA 02360

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 22D2318834

Greater Boston Urology · Plymouth, MA

Active · expires Feb 18, 2027

CLIA Number22D2318834

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 19, 2025

Certificate Expiration DateFebruary 18, 2027

Laboratory DirectorMalik Hesham

Laboratory Phone(508) 731-4800

Laboratory LocationGreater Boston Urology51 Obery St, Plymouth, MA 02360

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL E. COREA MD

Urology